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Cited by 110Total Knee Arthroplasty OutcomesProsthetics and Rehabilitation RoboticsStroke Rehabilitation and Recovery

The DOI matches its Crossref record; 51 of the 52 references it cites were found in a registry or an index.

Home-based Rehabilitation With A Novel Digital Biofeedback System versus Conventional In-person Rehabilitation after Total Knee Replacement: a feasibility study

Open access
Correia, Fernando Dias, Nogueira, André, Magalhães, Ivo, Guimarães, Joana, Moreira, Maria, Barradas, Isabel, Teixeira, Laetitia, Tulha, José, Seabra, Rosmaninho, Lains, Jorge, Bento, Virgilio·2018·Scientific Reports
DOI 10.1038/s41598-018-29668-0PMC PMC6062628
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Abstract

In-person home-based rehabilitation and telerehabilitation can be as effective as clinic-based rehabilitation after total knee arthroplasty (TKA), but require heavy logistics and are highly dependent on human supervision. New technologies that allow independent home-based rehabilitation without constant human supervision may help solve this problem. This was a single-center, feasibility study comparing a digital biofeedback system that meets these needs against conventional in-person home-based rehabilitation after TKA over an 8-week program. Primary outcome was the change in the Timed Up and Go score between the end of the program and baseline. Fifty-nine patients completed the study (30 experimental group; 29 conventional rehabilitation). The study demonstrated a superiority of the experimental group for all outcomes. Adverse events were similar in both groups. This is the first study to demonstrate that a digital rehabilitation solution can achieve better outcomes than conventional in-person rehabilitation, while less demanding in terms of human resources.

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Crossref · 10.1038/s41598-018-29668-0

Cites

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Figures

Figure 1 Study CONSORT diagram.
Figure 1 Study CONSORT diagram.CC BY · PubMed Central
Figure 2 Evolution of the outcomes over time in both groups, based on the repeated measures analysis (estimated marginal means of transformed variables are presented). (A) TUG score. (B) Lying knee flexion. (C) Standing knee flexion. (D) Sitting knee extension.
Figure 2 Evolution of the outcomes over time in both groups, based on the repeated measures analysis (estimated marginal means of transformed variables are presented). (A) TUG score. (B) Lying knee flexion. (C) Standing knee flexion. (D) Sitting knee extension.CC BY · PubMed Central
Figure 3 System components. (A) Motion Tracker Setup. (B) Mobile App: preparation screen. This screen is shown before each exercise, and displays a video of the exercise, as well as audio instructions. (C) Mobile App: execution screen. This screen is shown during exercise execution, displaying: (a) timer; (b) progress bar; (c) posture dummy; (d) repetition counter; (e) time left; (C) Web Portal - prescription screen. This screen displays the available exercises on the left and the layout of the exercise session on the right. (E) Web Portal - results screen. In this screen, the following information is presented: (a) date and time of the session; (b) session duration; (c) pain and fatigue reported by the patient through the app; (b) one card per exercise, showing baseline and target joint angles, wrong and incomplete repetitions, as well as posture errors.
Figure 3 System components. (A) Motion Tracker Setup. (B) Mobile App: preparation screen. This screen is shown before each exercise, and displays a video of the exercise, as well as audio instructions. (C) Mobile App: execution screen. This screen is shown during exercise execution, displaying: (a) timer; (b) progress bar; (c) posture dummy; (d) repetition counter; (e) time left; (C) Web Portal - prescription screen. This screen displays the available exercises on the left and the layout of the exercise session on the right. (E) Web Portal - results screen. In this screen, the following information is presented: (a) date and time of the session; (b) session duration; (c) pain and fatigue reported by the patient through the app; (b) one card per exercise, showing baseline and target joint angles, wrong and incomplete repetitions, as well as posture errors.CC BY · PubMed Central

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Metadata

Authors
Correia, F. D., Nogueira, A., Magalhães, I., Guimarães, J., Moreira, M., Barradas, I., Teixeira, L., Tulha, J., Seabra, R., Lains, J., & Bento, V.
Affiliations
  • Hospital de Santo António (PT)
  • Sword Health, SA (Portugal) (PT)
  • Universidade do Porto (PT)
  • Hospital da Prelada (PT)
Corresponding author
Correia, Fernando Dias
ORCID
Venue
Scientific Reports
Publisher
Springer Science and Business Media LLC
Published
2018-07-26
Volume
8
Issue
1
Pages
11299-11299
ISSN
2045-2322 (ISSN-L)
DOI
10.1038/s41598-018-29668-0
PMC
PMC6062628
OpenAlex
W2883522275
Cited by
110
References
52
Citations by year
2026: 12 · 2025: 13 · 2024: 10 · 2023: 19 · 2022: 25 · 2021: 11 · 2020: 12 · 2019: 7
FWCI
7.80
Type
journal article
Language
en
Update notices
correction (2026-06-23)
Open access
Licence
Locations
  • Scientific Reports (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, other-oa)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, cc-by)
  • Portuguese National Funding Agency for Science, Research and Technology (RCAAP Project by FCT) (submittedVersion, other-oa)
Funders
  • European Commission (H2020, 672814)
  • Horizon 2020 Framework Programme
Topics
  • Health Sciences › Medicine › Surgery › Total Knee Arthroplasty Outcomes
  • Physical Sciences › Engineering › Biomedical Engineering › Prosthetics and Rehabilitation Robotics
  • Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
Keywords
total knee arthroplasty, home-based rehabilitation, telerehabilitation, Timed Up and Go test, walking speed, postoperative rehabilitation, feasibility
MeSH terms
Telerehabilitation, Aged, Feasibility Studies, Feedback, Female, Humans, Locomotion, Male, Middle Aged, Time, Treatment Outcome, Arthroplasty, Replacement, Knee, Drug-Related Side Effects and Adverse Reactions

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